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Results for “Deinstitutionalization”

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PubMed1980

Deinstitutionalized mentally retarded hepatitis-B surface antigen carriers in public school classes: a descriptive study.

Twenty-seven of 33 formerly institutionalized retarded HBsAg carriers exhibited behaviors which might facilitate viral transmission in classrooms where they had been placed with retarded susceptibles. Classroom conditions included lack of handwashing facilities and frequent failure to inform staff of the presence of such carriers in their classes. A serological survey of classroom contacts showed that 91% of never-institutionalized students, 86% of staff, and 18% of formerly-institutionalized students had no antibody to HBsAg. Caution should be taken to protect teachers and students from infection with hepatitis-B in such classrooms.

Adolescent↗
PubMed1992

(De)-constructing continuity of care: the deinstitutionalization of support services for people with mental health problems.

The objective of this paper is to raise questions about appropriateness of the concept of continuity of care for guiding the development of helping strategies for people with mental health problems in the era of noninstitutionalization. Research on continuity of care is reviewed to show the strong legacy of institutional thinking. A leading problem addressed in this literature is that of client drop-out from programs designed to ensure continuity. The research results clearly suggest that this "problem" lies with the agency of clients: the fact that, in the natural milieu, they make decisions according to their own definitions of the situation and in a social context of their own. This perspective, however, seemingly cannot be incorporated into the continuity of care paradigm, which remains firmly grounded in the world of service providers. We argue, therefore, that the era of the noninstitutionalization calls for a recasting of the meaning of "continuity" for people with mental health problems, a reorientation of the type of research conducted in this domaine, and ultimately, a reformulation of the nature and role of support services in the community.

Community Mental Health Services↗